Individual
CHRISTOPHER B PORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8333 FELCH ST, ZEELAND, MI 49464-2608
(616) 772-4644
Mailing address
4100 EMBASSY DR SE STE 400, GRAND RAPIDS, MI 49546-2416
(616) 975-1845
(616) 285-0846
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301080313
MI
207P00000X
Emergency Medicine Physician
4301080313
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4301080313
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00280900
RAILROAD MEDICARE
MI
Enumeration date
08/02/2006
Last updated
05/22/2025
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